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State Scope of Practice Laws

Scope of practice laws for medical assistants may vary by state.

Key States  |  Review the key states listed below for specific language pertaining to medical assisting scope of practice.

Your State  |  For specific questions regarding your state, submit your query below.

Key State Scope of Practice Laws

12 AAC 44.966. Delegation of the Administration of Injectable Medication
Alaska State Medical Board: Delegating to Medical Assistants (Unlicensed Assistive Personnel)
Statutes and Regulations: Medical (January 2017)

Statement from Legal Counsel Balasa: Note the following from page 32 of the Statutes and Regulations document, which is in the regulations section:

12 AAC 40.480. EXEMPTIONS. (a) Nothing in this chapter prevents or regulates the use of a community health aid in the usual and customary manner in the rural areas of the State of Alaska. (b) Nothing in this chapter regulates, restricts, or alters the functions of a person traditionally employed in an office, by a physician, in a position not regulated by the State Medical Board under AS 08.64.
Medical assistants are not "regulated by the State Medical Board under AS 08.64." Therefore, it is my legal opinion that the policy statement of the Board offers guidance, but does not prohibit physicians from delegating to unlicensed professionals such as medical assistants the administration of IM, sub-Q, and ID injections under the direct/onsite supervision of a physician.


Arizona Administrative Code, Title 4, Chapter 16. Arizona Medical Board
Content Requirements for CAAHEP Accredited Medical Assisting Programs

Medical Board of California: Frequently Asked Questions—Medical Assistants

2014 Florida Statutes: 458.3485 Medical Assistant
Florida Board of Medicine: Ruling on Delegation of IV Infusion Therapy

Medical Assistant Law and Rules

Administrative Code, Section 1285.335 Physician Delegation of Authority
"Illinois nurse law safeguards physician delegation to medical assistants"
Public Act 096-0618, Sec. 54.2 Physician Delegation of Authority

Letter Regarding Delegable Duties in Iowa

Maine Revised Statutes: 3270-A. Assistants

Code of Maryland Regulations: 10.32.12

House No. 3895: An Act to increase access to immunizations

Montana Code Annotated 2014: 37-3-104: Medical Assistants—Guidelines
Administrative Rules of Montana: 24.156.640 Medical Assistant

Senate Bill No. 294: Provisions Governing Providers of Health Care

New Hampshire
New Hampshire Board of Medicine: Position on Supervision of Medical Assistants

New Jersey
New Jersey Board of Medical Examiners: 13:35-6.4

New York
Practice Alerts and Guidelines: Utilization of Medical Assistants

North Carolina
Delegable Duties: Letter Regarding Section 90-18(c)(13) of the North Carolina Statutes
Office Practice Setting: UAP Delegation

Ohio Administrative Code: 4731.053 Administrative Rules for Physician's Delegation of Medical Task
Ohio Administrative Code: 4731-23: Delegation of Medical Tasks
State Medical Board of Ohio: Letter Regarding Physician Delegation of IV Catheter

South Dakota
South Dakota Board of Nursing: Chapter 36-9B: Medical Assistants

Virginia Board of Medicine: Injections by Trained Individuals Now Allowed

Washington State Department of Health Credentialing Requirements: Medical Assistant—Certified or Interim
Washington State Department of Health Credentialing Requirements: Medical Assistant—Registered

West Virginia
Delegation of Medication Administration by an Advance Practice Registered Nurse

Scope of Practice in Your State

AAMA Chief Executive Officer and Staff Legal Counsel Donald A. Balasa, JD, MBA, can inform you about the laws in your state governing medical assistants' scope of practice and other issues that you may be considering as you staff your office.

  • Submit your query via e-mail below or call CEO and Legal Counsel Donald A. Balasa, JD, MBA at 800/228-2262.